*Patient Financial Experience Specialist/Full Time/Hybrid Troy
🔍 Troy, Michigan
GENERAL SUMMARY:
Under general direction, the CBO Patient Financial Experience Specialist is responsible for Henry Ford Health true and residual Self-Pay accounts. Identifies and determines in accordance with established policies and procedures - the accuracy and completeness of patient financial, insurance and demographic patient information to ensure patient responsibility is accurate.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Work efficiently and effectively through assigned work queues or reports following standardized work procedures.
2. Research accounts to identify root causes of errors and report potential issues to leadership.
3. When potential issues are identified recommend possible solution of the issue to leadership.
4. Meet established productivity and efficiency expectations.
5. Correctly use tools and resources available to resolve accounts.
6. Knowledge of applications used in the revenue cycle process related to patient billing.
7. Represent patient pay in all communications with external customers, including patients, third party insurance companies, auditors, lawyers, vendors, etc.
8. Verifying and adding insurance for billing when identified.
9. Assist all internal and external customers in a professional manner.
10.Responsible for timely responses to all service center inquiries to assist the customer in understanding their patient responsibility.
11.Place or remove patient balances to external collections when balances have met appropriate criteria.
12.Responsible for timely responses to collection agency inquiries.
13.Responsible for processing accounts based on feedback from collection vendors.
14.Assists with training and mentoring new team members.
15.Review and process financial assistance applications.
16.Using established policies and procedures, requests refunds and provides appropriate supporting documentation.
17.Analyze and process refunds as a result of patient overpayment.
18.Research and resolve accounts that are in a credit balance status; this includes correcting adjustment amounts if needed.
19.Understanding of the revenue cycle and the responsibility and goals of each area and how they impact the revenue cycle.
20.Using established processes, redistributes payments as appropriate between patient accounts and AR buckets.
21.Communicates with patients or insurance companies as needed to resolve credit balances
EDUCATION/EXPERIENCE REQUIRED:
- High school diploma or equivalent required.
- College course work in accounting, business, or healthcare administration, preferred.
- One-year prior experience in a healthcare revenue cycle position. Intermediate knowledge of Microsoft suite products preferred.
- Communicate effectively with patients, colleagues, and leadership.
- Work independently.
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.